Individual provider · Type 1 NPI

Marylyn Ann Clark, PH D

Marriage & Family Therapist · Prescott, AZ

NPI number 1528114451 Active

Practice location

222 West Gurley St. Suite 105
Prescott, AZ 86301-3244

Call (928) 778-1806 Map

Fax (928) 541-9308

Mailing address

PO Box 10246, Prescott
Prescott, AZ 86304-0246

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLISAC11094 (AZ)
Marriage & Family Therapist Primary 106H00000XLMFT0053 (AZ)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1528114451

Marylyn Ann Clark, PH D's National Provider Identifier is 1528114451, issued on Jan 25, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Prescott, AZ. The record was last updated on Jul 2, 2013.